ATCO Medical Service Request Form

All sections must be completed for appointments to be processed.

Requestor Details

Participant Details

At least one phone number is required

Service Details

(For Field Testing Officers and Bunzl Safety Testing / Manufacturing Positions only)

Participant Availability

Please select at least 9 hours over a minimum of 2 weekdays. If you would like to add additional days to your selection please click on +.

Injurynet will book the participant's medical based on the date and times you have provided. Please note, all cancellations and non-attendances will incur a fee.